
<!-- Top Navbar-->
<div class="navbar">
    <div class="navbar-inner" style="background-color: #2e9db4;">
        <!-- We need cool sliding animation on title element, so we have additional "sliding" class -->
        <div class="left sliding">
            <a href="work-permit.html" class="back link icon-only">
                <!--<i class="icon icon-back"></i>-->
                <img src="imgs/nav_back_item.png" style="width: 30px; height: 30px;">
            </a>
        </div>
        <div id="navTitle" class="center sliding" style="color: white;">提现申请单</div>
    </div>
</div>

<!-- Pages container, because we use fixed-through navbar and toolbar, it has additional appropriate classes-->
<div class="pages navbar-through toolbar-through">
    <!-- Page, "data-page" contains page name -->
    <div data-page="cash" class="page">
        <!-- Scrollable page content -->
        <div class="page-content">
            <div class="row">
                <div class="col-100" style="background-color: white; margin-top: 12px; margin-left: 8px; margin-right: 8px;">
                    <div class="row no-gutter" style="padding-right: 10px; padding-bottom: 12px; border-bottom: 1px solid #f4f5f6;">
                        <div class="col-50">
                            <div class="row">
                                <div class="col-33" style="height: 52px; line-height: 52px; text-align: center; padding-left: 10px; padding-right: 5px; padding-top: 7px; font-size: 17px;">姓名</div>
                                <!--<input class="col-66" style="height: 30px; margin-top: 18px;">-->
                                <div class="col-66">
                                    <div class="row" style="padding-top: 18px;">
                                        <input id="workName" class="col-100" value="" style="font-size: 14px; text-align: center; height: 30px; padding: 0px; border: 0px; color: #b7b8b9; background-color: #f2f3f4;border-radius: 5px; border: 1px solid #e3e3e4;" readonly>
                                    </div>
                                </div>
                            </div>
                        </div>
                        <div class="col-50">
                            <div class="row">
                                <div class="col-33" style="height: 52px; line-height: 52px; text-align: center; padding-left: 10px; padding-right: 5px; padding-top: 7px; font-size: 17px;">工号</div>
                                <div class="col-66">
                                    <div class="row" style="padding-top: 18px;">
                                        <input id="workNum" class="col-100" value="" style="font-size: 14px; text-align: center; height: 30px; padding: 0px; border: 0px; color: #b7b8b9; background-color: #f2f3f4;border-radius: 5px; border: 1px solid #e3e3e4;" readonly>
                                    </div>
                                </div>
                            </div>
                        </div>
                        <div class="col-50">
                            <div class="row">
                                <div class="col-33" style="height: 42px; line-height: 42px; text-align: center; padding-left: 10px; padding-right: 5px; font-size: 17px;">职务</div>
                                <div class="col-66">
                                    <div class="row" style="padding-top: 5px;">
                                        <input id="job" class="col-100" value="" style="font-size: 14px; text-align: center; height: 30px; padding: 0px; border: 0px; color: #b7b8b9; background-color: #f2f3f4;border-radius: 5px; border: 1px solid #e3e3e4;" readonly>
                                    </div>
                                </div>
                            </div>
                        </div>
                        <div class="col-50">
                            <div class="row">
                                <div class="col-33" style="height: 42px; line-height: 42px; text-align: center; padding-left: 10px; padding-right: 5px; font-size: 17px;">部门</div>
                                <div class="col-66">
                                    <div class="row" style="padding-top: 5px;">
                                        <input id="depart" class="col-100" value="" style="font-size: 14px; text-align: center; height: 30px; padding: 0px; border: 0px; color: #b7b8b9; background-color: #f2f3f4;border-radius: 5px; border: 1px solid #e3e3e4;" readonly>
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-100" style="margin-left: 60px; margin-right: 60px; padding-top: 17px; padding-bottom: 10px; text-align: center; border-bottom: 1px solid #f4f5f6; font-size: 17px;">申请提取金额(元)</div>
                    </div>
                    <div class="row" style="padding-top: 10px; padding-left: 10px; padding-right: 10px;">
                        <input id="cash" class="col-100" style="height: 60px; padding: 0px; border: 1px solid #e7e7e7; border-radius: 5px; text-align: right; font-size: 40px; padding-right: 10px;">
                    </div>
                    <div class="row" style="padding: 20px 8px;">
                        <div class="col-100" style="font-size: 12px; text-align: center; color: #525252;">申请提交后请随时关注您会收到消息并需要您本人确认</div>
                    </div>
                    <div class="row">
                        <!--<button class="col-100" style="border: 0px; padding: 0px; height: 39px; font-size: 15px; background-color: #2e9db4; color: white;">提交申请</button>-->
                        <a id="submitCash" href="#" class="button col-100" style="height: 42px; line-height: 42px; border-radius: 0px;">提交申请</a>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>